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HomeMy WebLinkAboutMiscellaneous - 86 SHERWOOD DRIVE 4/30/2018 (2)I Y-- /6 - 0 7-- Date............................... 2 TOWN OF NORTH ANDOVER - N 60, p PERMIT FOR WIRING Thiscertifies that ................................................................................... ........................... has permission to perform ................................ wiring in the building of . .................................................................. P?/lav -4 at ... jff!� ... ............................ ........ . North Andover, Mass. Fee.. ....... Lic. No... ZY& . ........................................................ ELECTRICAL INSPECTOR Check # 7373 V, Commonwealth of Massachusetts - Department of Fire Services aBOARD OF FIRE PREVENTION REGULATIONS Official Use Only Permit No. Occupancy and Fee Checked [Rev. 1/071 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: S'//0/ 0 ,7 City or Town of: NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Owner or Tenant Owner's Address Is this permit in conjunction with a building permit? Yes Purpose of Building Existing Service New Service No ❑ (Check Appropriate Box) Utility Authorization No. Amps / Volts Overhead ❑ Undgrd ❑ Amps / Volts Overhead ❑ Undgrd ❑ Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: No. of Meters No. of Meters Completion of'the following table may be waived by the Inspector of Wires. 7Q No. of Recessed Luminaires No. of Ceil.-Susp. (Paddle) Fans No. of Total Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool Above❑ in❑ rnd. rnd. o. o Emergency Lighting Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners No. of Detection and Initiating Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices g No. of Waste Disposers Heat Pump I Numberons KW No. of Self -Contained Totals: Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No. of Dryers Heating Appliances KW Security Systems: No. of Devices or Equivalent No. of Water KW No. of No. of Data Wiring: Heaters Signs Ballasts No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP TelecommunicationsWiring: No. of Devices orEquivalent OTHER: ,� ., .-.. ,a�( Attach additional detail if desired, or as required by the Inspector of GVires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) I certify, under the pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME: LIC. NO.: n Licensee: '----gex VY� ` a c�� Signature250t- IC. NO.: % V (!f applicable, ent � `e )n t" in the lacezse n:.en ber li "Bus. Tel. No. Zip S� � S 2 Address: a V IJ �'� - -C- Alt. Tel. No.: *Per M.G.L c. 147, s. 57-61, secu work requires Department of Public Safety "S" License: Lic. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent. Owner/Agent PERMIT FEE: $--G Signature Telephone No. Or ocation Date �— �yysyoZ7, TOWN OF NORTH ANDOVER i Certificate of Occupancy $ Building/Frame Permit Fee 'b�,rye. �ss�CHuSE� Foundation Permit Fee .,O*ff Permit Fee Sewer Connection Fee Water.Connection Fee i $ TOTAL $ Bildin spe for 1102.00, n. y ' Div. Pubii¢ Works/ r ,No: Date " NORTH TOWN OF NORTH ANDOVER Certificate of Occupancy- $ .`4' Building/Frame Permit Fee $ �s CHU h Foundation Permit Fee $ '`60 4cHuse s Other Permit Fee $ Sewer Connection Fee $ k' t Water Connection Fee TOTAL 11'37 1,082.00 P, Building Inspector . Div. Public'Works PERJIIT NO. 4a MAF1K40 APPLICATION FOR PERMIT TO BUILD —:;NORTH. ANDOVER, MASS. PAGE 1 . / O3"C I LOT NO. J RECORD OF OWNERSHIP IDATE BOOK '.PAGE ZONE �' SUB DIV. LOT NO.� ` • rF -I LOCATION Q(a c f,weQ� iii�;� PURPOSE OFBUILDING OWNER'S NAME `/ eA __ A lay/ jJ/ f C NO. OF STORIES SIZE OWNER'S ADDRESS�o�`./p •�I,� h4�J/_1 BASEMENT OR SLAB '�gSerN�n11 J ARCHITECT'S NAME o OC f I V SIZE OF FLOOR TIMBERS 1ST )(jD 2ND 3RD « BUILDER'S NAME U)m 13A � 33 yiw-cS SPAN lq 0 /I RI DISTANCE TO NEAREST BUILDING d -7 DIMENSIONS OF / SIILLS 9-,1 kG /- DISTANCE FROM STREET ,DO q " POSTS . YOL p � A"1 /'O_/ - _M4 Nr DISTANCE FROM LOT LINES - SIDES JU � tt REAR I00 Of..L " GIRDERS ✓ - �) V,II C: / � AREA OF LOT yo �,6 S Q l—f /�7 FRONTAGE I�aTO' HEIGHT OF FOUNDATION JQ • p1 /` /1 THICKNESS IS BUILDING NEW vSIZE OF FOOTING X a IS BUILDING ADDITION ! MATERIAL OF CHIMNEY A�a� IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND G� r� I WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER .Pis BOARD OF APPEALS ACTION. IF ANYAr� IS BUILDING CONNECTED TO TOWN SEWER t ,`� IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS SEE BOTH SIDES PAGE 1 FILL OUT SECTIONS 1 - 3 PAGE 2 FILL OUT SECTIONS 1 - 12 t. ,R ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED SIG ATURE OF OWNER OR AUTHORIZED AGENT FEE PERMIT GRANTEDvow�,1 19 3 � Pam i 3 PROPERTY INFORMATION LAND COST / EST. BLDG. COST EST. BLDG. COST PER SQ. . EST. BLDG. COST PER ROOM�� SEPTIC PERMIT NO. 4 APPROVED BY BUILDING INSPECTOR OWNER TEL. # 6" -,22,54,,v CONTR. TEL. # �5(� -00 CONTR. LIC. # D d H.I.C. # INSTRUCTIONS SEE BOTH SIDES PAGE 1 FILL OUT SECTIONS 1 - 3 PAGE 2 FILL OUT SECTIONS 1 - 12 t. ,R ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED SIG ATURE OF OWNER OR AUTHORIZED AGENT FEE PERMIT GRANTEDvow�,1 19 3 � Pam i 3 PROPERTY INFORMATION LAND COST / EST. BLDG. COST EST. BLDG. COST PER SQ. . EST. BLDG. COST PER ROOM�� SEPTIC PERMIT NO. 4 APPROVED BY BUILDING INSPECTOR OWNER TEL. # 6" -,22,54,,v CONTR. TEL. # �5(� -00 CONTR. LIC. # D d H.I.C. # BUILDING RECORD` g ! 1 OCCUPANCY 12 f• I SINGLE FAMILY STORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA - APARTMENTS I I RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. Ll 4 i NO. OF ROOMS GAS CONSTRUCTION 2 FOUNDATION CONCRETE CONCRETE BL K. BRICK OR STONE PIERS 8 INTERIOR FINISH _ 3 1 PINE HARDW D PLASTER DRY WALL UNFIN. 2 I3 3 BASEMENT AREA FULL FIN. B M AREA _ '/, 1/2 1/1 FIN. ATTIC AREA � N_O B M'T FIRE PLACES HEAD ROOM MODERN KITCHEN f 4 WALLS 9 FLOORS CLAPBOARDS B 1 2 �_ 3 _ _ DROP SIDING WOOD SHINGLES CONCRETE EARTH ASPHALT SIDING ASBESTOS SIDING HARDY✓'D_ COMMON VERT. SIDING ASPH. TILE STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC SLb FLOOR BRICK ON FRAME I_ CONC. OR CINDER BILK. WIRING STONE ON MASONRY STONE ON FRAME SUPERIOR I ZPOOR _ ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE GAMBRELMANSARD 11 HIP BATH (3 FIX.) TOILET RM. (2 FIX.) FLAT SHED WATER CLOSET ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK _ SLATE NO PLUMBING TAR & GRAVEL STALL SHOWER ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE -1 000 FORCED HOT AIR FURN. TIMBER BMS. & COLS. zI STEAM STEEL BMS. 8 COLS. HOT W'T'R OR VAPOR WOOD RAFTERS AIR CONDITIONING _ RADIANT H'T'G UNIT HEATERS 00 Ll 4 i NO. OF ROOMS GAS � OIL 2nd 13rd .i ELECTRIC � 1st % NO HEATING f v C � — d CO) Cl) 10 0 CD n Z CO) CL CF) =r C CL _' CO) O p CD CD O r� CD CD O CC CD C CD co) CD d O Cn to CD S y O Z CD o CD 0 dc CD c o+ x O -• N Q y a m y m'�nC o Cl) O HmaC Z ?-C y o• O O 'T1 �m? ? d CAT m '� o m y p _1 N ?m . m S Amo; CD O m go no y C .m C. m C2 m m y 'b C/) c o ' n .Y l"* O N d , C o cn y•� CA C LJ H V .-r m : V CD cn CA ^ mCD !•� �((//���\))J rte-► y CD O� � ea '� ; �•��11II ..o o � z o moi nzJ CD ►-fir m CD � . cn cn m CD G C.-) C2CA b o V 1 • iv1.�yy O a b. ".4 to z 0 xr -rl pj 0 O X17 n z C w tz N zr Q CA tz W CA O M Croi7 a b. ".4 N FORM U - VERIFICATION FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable local or':state law, regulations or requirements. ****************Applicant fills out this section***************** APPLICANT: 5,1A2✓'w&VS N"Olwe.�f a(! Phone -0 LOCATION: Assessor's Map Number /D� Parcel Subdivision M--9u—T Lot(s) 6 Street 'D No 6J oz:, �/� I �� St. Number ************************Official Use _ DATION OF TOWN AGENTS: 1N� Date Approved C nservation Administrator Date Rejected , Comments i 1a IA\"&-xA r Date Approved � �i � • -, Town Planner Date Rejected Comments Food Inspector -health �� Septic Inspector -Health Comments Date Approved Date Rejected Date Approved Date Rejected Public Works - sewer/water connections driveway -permit Fire Department Received by Building Inspector Date i � c r MAScheck COMPLIANCE REPORT Massachusetts Energy Code ; Permit # ; MAScheck Software Version 2.0 CITY: Lawrence STATE: Massachusetts HDD: 6235 CONSTRUCTION TYPE: 1 or 2 family, detached HEATING SYSTEM TYPE: Other (Non -Electric Resistance) DATE: 5-15-1998 DATE OF PLANS: MAY 18, 1998 TITLE: PROJECT INFORMATION: SHERWOOD DRIVE LOT - 6 NORTH ANDOVER, MA 01845 COMPANY INFORMATION: WILLIAM BARRETT HOMES 1049 TURNPIKE ST. NORTH ANDOVER, MA 01845 COMPLIANCE: PASSES Required UA = 754 Your Home = 748 Checked by/Date Area or Insul Sheath Glazing/Door Perimeter R -Value R -Value U -Value UA"'' CEILINGS 2465 38.0 0.0 74 WALLS: Wood Frame, 16" O.C. 3012 15.0 3.0 201 WALLS: Wood Frame, 16" O.C. 584 19.0 3.0 32 GLAZING: Windows or Doors 786 0.480 377 FLOORS: Over Unconditioned Space 1424 30.0 46 BSMT: 8.0' ht/7.0' bg/0.0' insul. 58 0.0 13 BSMT: 8.0' ht/4.0' bg/4.0' insul. 33 19.0 5 HVAC EFFICIENCY: Furnace, 86.0 AFUE COMPLIANCE STATEMENT: The proposed building design represented in these documents is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if,appropriate has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in sections 780CMR 1310 and J4.4. Builder/Designer Date 'o ver ••1 1112 Outlet l; i sg T —� NOTE : Ou?LED�4 Inlet SHALL E5E LEVOutlet A MINIM6iM FIRST• Z' oF' Son LrEa4TN a, Tee • .O• • pl• •AV,t�l 112„ Lea of ti SECTION Z o a o_ end fibers. in forced with W 'N ^� ?' p I Q 40 00 el tubber. I s '� •, � t `C and ( j 0.92 ACRES t` �p0 f`r °" / (' f. " �• c—:B.:.A. 37, o9Co.5. t .7 �- s Bof /- '`a •-- .� i vim•_, o 01 QAWmoi 6`�s.••• 7 TOP i .c f 1 r / lift C' � N. -z 133. _ ►3s - ,13 4� .01 1-0 All � - f 5E IC IlLo Ile fo 000 / IL N ✓ a- ( EE N • � v -Bo W/ Ioo /RFuTu EYS ♦ RESE tZvE • i s � t i � 1��-z W .� 1,, \\ rr3 3�•so' � � � � .♦118.53 01 85S 0213 W 71 i' / 11 100, \ 4 � ��Dys���wo� / 50' Wide%' a✓e \ 5°1'jVatei lfp 2. ' Edge 5�de,Nal \ \ i p la ,L J Growth Management Bylaw Exemption Statement Town of North Andover Building Department This form shall bar used to assist the Building Department in their determination of exemptions under section 8.7.6 of the Town of North Andover Growth Management Bylaw. The building applicant shall provide all of the necessary information as requested below. : Name of Applicant on Building Permit (below) Address of Property fear Permit (below) Si�ierworV, DP.t/� . �. L C- i0� i��w�-�- Map and Parcel: Purpose of Application (check below) Phone Number of Applicant _ Single Family - —Two Family I the undersigned applicant for the above property attest that the attached building permit for which this form is completed does comply with the EXEMPTION section 8.7.6 of the North Andover Growth Management Bylaw. I also understand providing this form does not absolve me or any patty to this permit from the requirements of obtaining other permits required prior to the issuance of the Building. Permit. Further I understand that my interpretation of the EXEMPTION status is subject to review by the Building Depatiment and is only officially accepted when the Building Permit ix issued. Based on section 8.7.6 of the North Andover Growth Bylaw the above lot and the work. as applied for on the above lot, in the building permit application and associated attachments, complies with one or more of the following sections as indicated by a check mark: This is an application tar a building permit for the enlargement restoration, or reconstruction of a dwe►ring in existence as of the effective date of this by-law. provided that no additional residential unit is created. law. Tho lat(s) werelwas created prior to May 6, 1946 are exempt from the provisions of this Sedan 8.7 of the Zoning y This appilcadon is for dwelling units for low andfor moderate income families at individuals, where all of the co�ditione of 8.7.6.c.vra met aridior represents Dwelling units for senior residents. where occupancy of the units is restricted to senior persons through a property executed and recorded deed restriction running, with the land. For purpaaets of this Secdan "senior shall mean persons over the age of 55. This application is a part of a development project whlcn voluntarily agreed to a minimum 60:'b permanent'. reaucdon in density (buildable lots), below the darmty, (buildable lots), permitted under toning and feasible given the environmental conditions of the tract, with the surplus land equal to at least ten buildable acres and permanently deslgnated as open soave and/or farmland. The land to be preserved shall be protected from development. by an Agricultural Preservatlon Restriction, Conservation. Restriction• dedication to the Town, of other similar mechanism approved by the Planning Board that will ensure its protection. This application represents a tract of land existing and not held by a Developer in common ownership with an adjacent parcel an the effective date of this Section 0.1 shall receive a one-time exemption from the Planned Growth Rata and Development Scheduling provisions for the pumps* of constructing one single family dwelling unit on the parcel. _ This application represents a lot which is ready for building permcts.(i.e. all other permits from all other boards and commissions have teen received and the praiect is in compliance with those permits). and tore Development Schedule • does not accommodate issuing a building gamut in that Year. one building permit will be issued per Year per ' Development until such time as the Development Schedule accommodates issuing building permits. Applicant must supply approved form U with this EXEMPTION. Please provide any and all information that would assist the Building Department in making a determination' Mat your application is allowed one or more of the above EXEMPTIONS. By signing below I attest to the accuracy of the information provided and that the attached building permit is allowed an EXEMPTION as cited above. Further I understand that the submittal of misleading and or inaccurate information, or the checking off of an above item which does mat comply, whether done to. my knowledge or not, is grounds for recusal by th B ,1ding Department to issue a Building Permit. /I -- 'Signature at owner or Authorized Agent who sufned the Attained Bwldrn9 Perm't Daw This farm must be attached to the Building Permit upon application for such permit. t } z +�9tfv w+ t a i Ly i Fw x8 t"J ^'•wy M ' '7;X Z001 1. 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W - 0 ,_/cq ! w I I J Q 1 Cb = N X I d Q I -7z o� w FIR C1 O rn O a� �z pwxcf 11riE: SCALL: PAZ: iftf: 1L-5HFP\ VOOn PP\IV� LOI" - 6 5116 1'-0" A UIL-PrOF FINE- HOMF-5 S of : 5FCON12 PLOOP PLAN MMOY: 1-022 NOOp��: C9 b 10 I e I (7Aif:�t, W L- L- 0 �\� �� �"`�"" ettin�; 5H�PWOOP PPlvV ILof-6 .1 / 8'' =1' '0'' 13LBBLPF-p OF FINE HOMF-5 "'�Ir?5i' & S�CONn FINC p mm Py, f022 NOOi''�p SAM LANS n E� rn CP i PK'O.ECf itfLE: xN.E: VAS;SFEET:----------- W L- L- IAM � P� �"�0" 5H�rwoor mK 1.01' - 6 I/ 8' = I _�� 13U L1�F-p Or- FlNtl HOMr 5 EEfi1TLE: t7KAN?JBr: Ay� CD ���AMING pI�ANS ♦ 1'OL?P HOOMP-, a Nil 10"I 1 A N C1 Y 8'-41/ T' O f c�OZS� CP Q x� O • z � xy z O -P �N 1MN O hZl O ► � C'l � N -� 1 O bO. NN� O � O d7 IMF tQ xy a �Nx I;m ili mg N aa_ O iiiSSS 1 A N C1 Y 8'-41/ T' O f c�OZS� 1 A m N C1 Y x N O f c�OZS� CP x� O NW � Q �� N• x xy -P �N 1MN O hZl O ► � C'l � N -� 1 : bO. NN� d7 IMF a m N C1 Y x N O f 9 aF5�5 11pp �a �71 ate, v ` 0 6 _- L- � ~ Pio rcr nne: 5NM00P PFI 1.01' - 6 �I / 811 ` P-01 i vnn; Rpm PY: OF FINF- HOMF-5 ""ffte: PULPING 5�CION5 1'0l2b HOOPFP, �\� CERTIFICATE OF USE & OCCUPANCY Town of North Andover V/ Building Permit Number 1::23819A Date THIS CERTIFIES THAT THE BUILDING LOCATED ON 8- 6 L� /7 �/"' w oo 2)R L) 'e - MAY BE OCCUPIED AS tn��g' `� /a"' IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. 04.4 CERTIFICATE ISSUED TO p ADDRESS 149'In1 %271,, ia' cS 4,4c Mus Building Inspector ON rA Cd 9 W QN�: iz o t4 vi w° w aG 1 w u. 1 ccs cn Vn O H "� z O 0 0 z O U C/) E� W 2 0 4-J 2 O oc �: 0 Z o CL O y cm O C C C wy W o H O O E mm CD -� ,= 3 .a O i C O O=. M C Q ca o •r Cc 3 C CD CL L) H cc C C _cc H D ww� c o C N O q a� CL. m CD g M .0 C} •oma E� a ): �l� t,` m o CD c ts a 0E= z CD O 0 Gs r os m c E � �mm i �m3 N Q H Q c ;� o o C e 1CcO W Em � Em cc Q! es .a W m a 0 V N O 2 O C CLO Q► C y O = m O d N y W r CO R O O_... Z:5 Cr=r •H +' C O O � ac E O. r=.+ Z y a o C i-- 5 .0.'O- H C = ey0 �a=mom z O 0 0 z O U C/) E� W 2 0 4-J 2 O oc �: 0 Z o CL O y cm O C C C wy W o H O O E mm CD -� ,= 3 .a O i C O O=. M C Q ca o •r Cc 3 C CD CL L) H cc C C _cc H D N2 2050 Date .... ?-. � TOWN OF NORTH ANDOVER PERMIT FOR WIRING ........................... has permission to perform ...... ........... 5�� ..... wiring in the building of..... ... za ............................. . ................ ........... ... at .... f�'-North Andover, Mass. ...... Lic. No.e�) ............................................................... ELECTRICAL INSPECTOR 09/24/98 11:44 35.00 PAID WHITE: Applicant CANARY: Building Dept. PINK: Treasurer 657 X4ssrMS577s V0 -6--e 4 P S44 BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 Office Use Only Permit No_ Off✓ CJ Occupancy & Fee Checked APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK Ail work to be performed in accordance with the Massachusetts, Electrical Code 527 CMR 12:00 (Please Print in ink or type all information) Town of North Andover The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number Owner or Tenant Owner's Address Data '?— L N-- 10 To the Inspector of Wires: Is this permit in conjunction with a building permit Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building_ 40S/ele/7 f/ el Utility Authorization No. Existing Service Amps Volts Overhead ❑ Undgmd ❑ No. of Meters New Service Amps Volts Overhead ❑ Undgmd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work C V ✓r OTHER --<eLC/r �(� �ilot/ M r INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws I have a current Liability Insurance Policy including Cort],pleted Operations Coverage or its substantial equivalent YESVNO = have submittedya lid proof of same to the Office YES of = If you have checked YES please indicate the type of coverage by checking the appropriate box INSURANCE W BOND = OTHER = (Please Specify) rAd (Expiration Date) Estimated'Value of Electrical Wo S Td d . 06 ork to Start 9 — Z —q Inspection Date Resquested Rough Final Signed under the PeJ�pMes of perjurryy� A SC FIRM NAME �/J l!! ✓It7sk% ff7��� >` /f`��/� LIC. NO. �v Licansee IeOD�/% D 5u'/% r LIAAI Signature /�'���L/ -4-ev Lc. No. �a 240— Bus. / Q� Bus. Tel No. g7br— 6,0`2 6 y% v Addressc27 �/ �14"` `�� e~F/l�Ge Alt Tel. No. " el OWNER'S INSURANCE WAIVER: I am aware that the Licenses does not have the insurance coverage or its substantial equlvalent as required by Massachusetts General Laws. And that my signature on this permit application waives this requirement. Owner Agent (Please Check one) Telephone No. PERMIT FEE S_�-- (Signature of Owner or Agent) Total No. of Ught8ng Outlets No. of Hot fuse No. of Transformers KVA Above ❑ In ❑ No. of Lighting Fixtures SwimmingPool gmd ❑ gmd ❑ Generators KVA No. of Emergency Lighting No. of Receptacles Outlets No. of Oil Burners Battery Units No. of Switch Outlets No of Gas Burners FIRE ALARMS No. of Zone No. of Detection and t Total No. of Ranges No of Air Cond Tons Initiating Devices Heat Total Total No. of Di sal No. Pumps Tons KW No. of Sounding Devices No.] of Self Contained No. of Dishwashers SoaceWea Heating KW Detection/Sounding Devices ❑ Municipal ❑ Other No. of Dryers Heatinq Devices KW Local Connection No. of No. of Low Voltage No. of Water Heaters KW Si ns Bailases Wiring No. Hydro Massage Tuds No. of Motors Total HP OTHER --<eLC/r �(� �ilot/ M r INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws I have a current Liability Insurance Policy including Cort],pleted Operations Coverage or its substantial equivalent YESVNO = have submittedya lid proof of same to the Office YES of = If you have checked YES please indicate the type of coverage by checking the appropriate box INSURANCE W BOND = OTHER = (Please Specify) rAd (Expiration Date) Estimated'Value of Electrical Wo S Td d . 06 ork to Start 9 — Z —q Inspection Date Resquested Rough Final Signed under the PeJ�pMes of perjurryy� A SC FIRM NAME �/J l!! ✓It7sk% ff7��� >` /f`��/� LIC. NO. �v Licansee IeOD�/% D 5u'/% r LIAAI Signature /�'���L/ -4-ev Lc. No. �a 240— Bus. / Q� Bus. Tel No. g7br— 6,0`2 6 y% v Addressc27 �/ �14"` `�� e~F/l�Ge Alt Tel. No. " el OWNER'S INSURANCE WAIVER: I am aware that the Licenses does not have the insurance coverage or its substantial equlvalent as required by Massachusetts General Laws. And that my signature on this permit application waives this requirement. Owner Agent (Please Check one) Telephone No. PERMIT FEE S_�-- (Signature of Owner or Agent) N -o 258 �.......... Date ........�?/ T NORTH TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that o.(,x.......... Q has permission to perform..............4.(�.Wok,................................ wiring in the building of .... �.`... .................�.........�4�. �........ �—O f PR .............. . North Andover, Mass. at ......�P....... �`>..... ...... .... F4...o..t.4k). Lic. No. of�/`.`.'................................................................ ELECTRICAL INSPECTOR a 09/30/98 08:45 300.00 PAID WHITE: Applicant CANARY: Building Dept. PINK: Treasurer r�� ean�o�ui�r„l V/ 0; N.45_5,4C- ,21.59775 Dr�.Hr.�•e � Pa6[!e Sa6iry BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 APPLICATION FOR PERMIT TO All work to be performed in accordance with the (Please Print in ink or type all information) Town of North Andover Office Use I Permit No v 1/) Occupancy & Fee Checked PERFORM ELECTRICAL WORK Massachusetts Electrical Cade 527 C qR 12: Date 13vA g To the Ins oro Wires: The undersioned applies for a permit to perform the electrical work described below. Owner or Owners Addressy y % al a )a/ le[ 37 /tloij Awltv`u Is this permit in conjunction with a building permit Yesq No ❑ (Check Appropriate Box) Purpose of Building id G f ry�/Ll / C-/ Qu­� Lt- A -G Utility Authorization o. ExistiA ng Service Amps Voits Overhead ❑ Undgmd ❑ o. of Meteis Nei). Service J U 0 Amps 4 Volts Overhead C3Undgmd � No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work -Z.441 f,t, l 7 , ,AA/ /6 � J, 6✓4 GS ,t 1 wc, f-1— tics OTHER: INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent YES = NO = have submitted valid proof of same to the Office YES = NO = If you have checked YES please indicate the type of coverage by checking the appropriate box INSURANCE = BOND = OTHER = (Please Specify) (Expiration Oate) Estimated Value of Electrical Work$ Work to Start Inspection Date Resquested Rough Final Signed under the Penalties of perju FIRM NAME da. ® L ,e LIC. NO. Licensee I 14-P /l� A41 L ___ D wy ti SignatureLIC. NO. G© Bus. Tel No. Addresa�� u i % IL6VP f'J (� fjfy�_ ac rel. No. _ OWNER'S SU CE WAIVER: I am aware that the Llean es does not have the insurance coverage o bstantlal equivalent as required by Massachusetts General Laws. And that my signature on this permit appiieation waives this requirement. Owner Agent (Please Check one) "dv Telephone No. PERMIT FEE 5____ -- (Signature of Owner or Agent) Total No. of Ught8nq Outlets No. of Hot fuse No. of Transformers KVA Above ❑ In ❑ No. of Ughting Fixtures Swimminq Pool qmd ❑ gmd ❑ Generators KVA No. of Emergency Ugnting No. of Receptacles Outlets No. of Oil Burners Battery Units No. of Switch Outlets No of Gas Bumers FIRE ALARMS No. of Zone No. of Detection and Initiating Oevices Nobf Ranges Total No of Air Cond Tons Heat Total Total No. of Oioosal No. Pumos Tons KW No. of Sounding Devices No./ of Self Contained OetectiorvSounding Devices ❑ Municipal ❑ Other % No. of Dishwashers Soace/Area Heating KW No. of Orvers Heating Devices KW Local Connection Q. of No. of Low Voltage No. of Water'Heaters KW Signs Badases Winn No. HWro Massage Tuds No. of Motors Total HP OTHER: INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent YES = NO = have submitted valid proof of same to the Office YES = NO = If you have checked YES please indicate the type of coverage by checking the appropriate box INSURANCE = BOND = OTHER = (Please Specify) (Expiration Oate) Estimated Value of Electrical Work$ Work to Start Inspection Date Resquested Rough Final Signed under the Penalties of perju FIRM NAME da. ® L ,e LIC. NO. Licensee I 14-P /l� A41 L ___ D wy ti SignatureLIC. NO. G© Bus. Tel No. Addresa�� u i % IL6VP f'J (� fjfy�_ ac rel. No. _ OWNER'S SU CE WAIVER: I am aware that the Llean es does not have the insurance coverage o bstantlal equivalent as required by Massachusetts General Laws. And that my signature on this permit appiieation waives this requirement. Owner Agent (Please Check one) "dv Telephone No. PERMIT FEE 5____ -- (Signature of Owner or Agent) D�+r....e � raJUe Sway BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 Office Use Only Permit No_ Occupancl S Fee C,iecReo APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts E'.ectrical Code 527 CM 12:00 (Please Print in ink or type all information) Date `'� J79 To the Insp r of Wires: Town of North Andover The undersigned applies for a permit to perform the electrical work described Location (Street & Number n 10 ) at 42%) o I" I ('I J iV ue Owner or Tenant Crb G JV i Al Owner's Address /D 1 / -LL Is this permit in conjunction with a building permit Yes Z, No ❑ (Check Appropriate Box) Purpose cf Building ' r Pi h 1 2, I ,4-4, / C V -L I_ L, /,Jlo Utility Authorization No.(�_o � ` � 74 Existing Service 1 Amps Voits �y New Service D C, Amps iL Voits Overhead ❑ Overhead ❑ Undgmd ❑ Undgmd ❑ No. of Meters No. of Meters Number of Feeders and Ampecity I ocadon and Nature of Proposed E?ecthcal Work -. J 7-6172.[. (ii/r Qt Fy6 �'� G �� ,i+J 43 i /At OTHER: INSURANCE COVERAGE. Pursuant to the requirementits of Massachusetts General Laws 1 have a current Liability Insurance Policy including Comptetetl Operations Coverage or its substantial equivalent YES = NO = have submitted valid proof of same to the Office YES -x-010 = If you have checked YES please indicate the type of coverage by checking the appropriate box INSURANCE GOND = OTHER = (Please Sperafy) (Expiration Date) Estimated Value of Electrical Work$ Work to Start Inspection Oate Resquested Rough Final Slgned under the PenaMas of inerlurv: n A FIRM H I —74 '-,e C, LIC. NO. 77 _IC. NO_44E_/ I� Bus. Tel No. N Address : �f� 1�% / / �% �oA a � -or�`'/ /t` Alt Tel. No. ! -� I I q 2'f "T i OWNER'S INSURANCE WAIVER: I am aware that the LIcenses does not have the insurance coverage or its substantial equivalent as required by Mar>sachusers General Laws. And that my signature an this permit application waives this requirement. Owner Agent (Please Check one) Telephone No. PERMIT FEE S�— (Signature of Owner or Agent) Total No. of Lichtang Outlets No. of Hot fuse No. of Transformers KVA Above ❑ In C No. of Uqnbnq F;xtures Swimmrnq Pool qmd C. qmd 0 Generators KVA No. of Emergency Ugnang No. of ReceotaCes Outlets No. of Oil Burners Battery Units No. of SvAtch Outlets No of Gas Burners FIRE ALARMS No. of Zone Na. of Detection and Total No. of Ranges Na of Air Cond Tans Initiating Devices Heat Total Total No. of Moosal No. Pumas Tons KW No. of Sounding Oevices I Nod of Self Contained No. of Dishwashers Soace/Ares Heatino KW Detection/Sounding Devices C Municipal C Other No, of Dryers Heating Oe -Aces KW Local Connection No, of No. of Low Voltage No. of Water Heaters KW Signs Ballases Winn No. Hvdro Massage Tuds No. of Motors Total HP OTHER: INSURANCE COVERAGE. Pursuant to the requirementits of Massachusetts General Laws 1 have a current Liability Insurance Policy including Comptetetl Operations Coverage or its substantial equivalent YES = NO = have submitted valid proof of same to the Office YES -x-010 = If you have checked YES please indicate the type of coverage by checking the appropriate box INSURANCE GOND = OTHER = (Please Sperafy) (Expiration Date) Estimated Value of Electrical Work$ Work to Start Inspection Oate Resquested Rough Final Slgned under the PenaMas of inerlurv: n A FIRM H I —74 '-,e C, LIC. NO. 77 _IC. NO_44E_/ I� Bus. Tel No. N Address : �f� 1�% / / �% �oA a � -or�`'/ /t` Alt Tel. No. ! -� I I q 2'f "T i OWNER'S INSURANCE WAIVER: I am aware that the LIcenses does not have the insurance coverage or its substantial equivalent as required by Mar>sachusers General Laws. And that my signature an this permit application waives this requirement. Owner Agent (Please Check one) Telephone No. PERMIT FEE S�— (Signature of Owner or Agent)